BMJ Case Reports 2012; doi:10.1136/bcr.02.2012.5796
  • Rare disease

Superior subluxation of an anterior end of the first rib in a trauma patient

  1. Joanna Hilton
  1. General Surgery Department, ABM University Health Board, Morriston Hospital, Swansea, UK
  1. Correspondence to Jakub Kaczynski, jakub.kaczynski{at}


We present a case of a young man with a superior subluxation of an anterior end of the first rib following a road traffic accident. To the best of our knowledge, no similar case has so far been described in the literature. The patient presented with headache, backache and pain in the right anterior chest wall. After initial assessment, a chest radiograph was performed and it showed no abnormalities. A CT of the chest revealed an isolated hypermobile first rib at the anterior end owing to superior subluxation. The patient was treated conservatively.


  • Competing interests None.

  • Patient consent Obtained.

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